Individual
TIFFANY ANN HABBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14000 NICOLLET AVE STE 100, BURNSVILLE, MN 55337-5793
(952) 428-0200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P7923
MN
Other
Enumeration date
06/08/2012
Last updated
11/10/2020
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